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MR. DAVID TAI-WAI TOM MFTI
NPI 1205047891
Marriage & Family Therapist in Hayward, CA

Active since May 24, 2007PECOS Enrolled
22455 MAPLE CT, SUITE 402, HAYWARD, CA 94541(510) 582-0148(510) 582-8460 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. David Tai-wai Tom Mfti NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DAVID TAI-WAI TOM MFTI (NPI 1205047891) is an individual marriage & family therapist in Hayward, California, licensed in California (MFTI 41885) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205047891
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. DAVID TAI-WAI TOMCredential: MFTI
Location Address22455 MAPLE CT, SUITE 402Hayward, CA 94541-4031
Mailing Address22455 Maple Ct, Suite 402Hayward, CA 94541-4031 · (510) 582-0148 · Fax (510) 582-8460
Phone(510) 582-0148
Fax(510) 582-8460
Sole ProprietorNo
Enumeration DateMay 24, 2007
Last NPPES UpdateDecember 30, 2021
✔ NPI 1205047891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · MFTI 41885
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
22455 MAPLE CT, Hayward, CA 94541
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. David Tai-wai Tom Mfti is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show David Tai-wai Tom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
15 mi
Internal Medicine
1190 VETERANS BLVD
Redwood City, CA 94063
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1639252604 (650) 299-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. KAY ALLYSON GROSVENOR NP
Nurse Practitioner (Women's Health)
22455 MAPLE CT, SUITE 304
HAYWARD, CA 94541
Alameda County (510) 690-9861
MS. MADELEINE MARCUS LCSW
Social Worker (Clinical)
22455 MAPLE CT, SUITE 402
HAYWARD, CA 94541
Alameda County (510) 582-0148
MS. CAROLYN R PHILLIPS LMFT
Marriage & Family Therapist
22455 MAPLE CT, # 206
HAYWARD, CA 94541
Alameda County (510) 415-3292
MS. DEBORA ROCA III
Counselor
22455 MAPLE CT, SUITE 402
HAYWARD, CA 94541
Alameda County (510) 582-0148
MS. JANET BEATY
Counselor (Mental Health)
22455 MAPLE CT, SUITE 402
HAYWARD, CA 94541
Alameda County (510) 582-0148
JOHN RICHARD TAYLOR MD
Family Medicine
22455 MAPLE CT, STE 305
HAYWARD, CA 94541
Alameda County (510) 889-6155
MS. LOIS R GRAY MFC
Marriage & Family Therapist
22455 MAPLE CT, SUITE 402
HAYWARD, CA 94541
Alameda County (510) 582-0148
MARY HICKEN
Counselor (Mental Health)
22455 MAPLE CT, SUITE 402
HAYWARD, CA 94541
Alameda County (501) 582-0148

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Tai-wai Tom's NPI number?

The NPI number for David Tai-wai Tom is 1205047891. It was assigned to this individual provider in the NPPES registry on May 24, 2007.

Where is David Tai-wai Tom located?

David Tai-wai Tom practices at 22455 Maple Ct Suite 402, Hayward, CA 94541. The listed phone number is (510) 582-0148.

What is David Tai-wai Tom's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is David Tai-wai Tom enrolled in Medicare?

Yes. David Tai-wai Tom is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for David Tai-wai Tom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Tai-wai Tom reassigns Medicare benefits to Permanente Medical Group Inc (Redwood City, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Tai-wai Tom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for David Tai-wai Tom was last updated on December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.